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a APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: ()&S APPROVED: BLDG.PERMIT NUMBER: DATE INSPEC OR LOCATION OF WORK: a 5 r No o5e Dr (.L a� APPLICANT: OWNER: TYPE OF STRUCTURE: INEW BUILDING }i NAME: l c/, G fcucte Ga.S Se r c e ME ❑``NA : ADDITION PHONE NUMBER: F(co-7`I 9 -$o .2)5 PHONE NUMBER: 9 iF U - ❑EXISTING BUILDING ADDRESS:19 M ic{Alc !2\.rar (Sr ADDRESS: 14 O 0 C kL,4a 2 1 lad TYPE OF USE: Stc�4fold u5 . GT u-Y,0.65e,5; c -T ak&O-7Lk IDENTIAL ❑COMMERCIAL PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: IS NO.OF TOILETS: STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? oYES ONO ESTIMATED COST: S QLUOo C%O SIZE OF WINDOW: SIZE OF DUCTS: j4 ct cl SEWER OR SEPTIC TANK: FEE ENCLOSED:S 7 C SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART IL OF THE PERMIT FEE) THE UNDERSIGNED I-IEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: U/y 0%14 Q l TYPE: STATE: 1 r 1 SIGNATURE OF APPLICANT: DATE: ► $ I U I I NOTES: 1�.. 1. Contractor shall verify layout dmensions and current site . Fa .... _- - topography. Current site topography may differ from depicted. PtR - contractor must verify existing topography allows for grading and LOT #1 uz/ utility cover as shown. Any discrepancies shall be reported in V writing to the design engineer and architect prior to construction 9 15 5Ch001 NOUse 2.Contractor shall coordinate installation of all underground utilities C Drive �� with respective utility company. r {./ i � �___ 3. Refer to site pion drawings for existing conditions Information, � w other proposed site features. and erosion control measures. }. / 1a' 4.Refer to architectural drawings for detailed building dimensions. \ �/ / �' \ \ _•` 5.Grade to drain away from all buildings. 74.50 6. Roof leaders shall discharge to splash blocks at grade. 6a A fifi 7. Setback requirements between buildings shall comply with South i� \ $- / u' \ \ Wndaor zoning regulations and Fine Codes. 1,1 1r 10.141 ifr 11 11f lilt} 8.Contractor to confirm existing sewer lateral Is consistent with �•',\ / ,p / \ proposed invert. If existing lateral invert does not allow for a 1: PROPOSED _ s( minimum of 2.0%slope, the lateral is to be modified to provide \ 6 ELECTRICAL UNDERGROUND 74.80 P5 .� �$ �/Nj the minimum slope from sewer manhole to end. Q SG SERVICE ' �j Sc`,c, _�p• PROPOSED UNDERGROUND UTILITIES e �' \• / a t \�� Eu Electric df Communicotions \ / UNIT #3 --w 1" Domestic Water Supply hill i r 37 School f•louse Gs Gas (propane) m DriVer FD 4" PVC Foundation Drain \ \ Js ss 6" PVC SDR-35 Sanitary Sewer UNDERGROUND \ ` „f 'pFta •y __ n ________ PROPOANE TANK \ \ \ HATCHWAY O \ WATER $ SAN. INV- T.W.=76.0' ` m; SERVICE 69.9't G.F.=75.5' 4.1( a %*- p (TYP) \ BSMT.=68.5' ( CeNS£9 er�;` C \\ •o• .#' 3[, ti FO. INV= L ENG\�� M• �6 ORM2WAAVIC SI.RPVEY- K¢Lm, /AC., 755 ELLIAGTAV ROAD 0 7Y0 PLF.45M7 VALLEY RaW,, Sd/rN ArAliI \ CHIMNEY COWEC77alT.'PREPARED FCR RSK KELLCO BY AfS/6N FRDFfWXV[ALS /AC., DATE,sEPTEMER 24, 2M6 ` { \ •f?s• 1 Sat-42A XIM DRIVE 5/TE PLANS-DE-149 D RESIDENTIAL. DEVELC.1°1"7ENT- 70 ELLIAGIM Ra4D 1760 PLEASANT VALLEr ROAD, 22' (2 scan/Nera5ag C0MVFCrAWT.'SHEETS/rl4a%,GN 15, LUTED 6✓2q47 \ �2-Q ' 2. RENSED TO 7A//4 SCALP'-AtY, BY DES/GN PROESSiaWLs, NAG Ai2M: ' itr \ G • \ \ �R '�• I i / 1}l/5 5/7RVEr AND MAP NAS BELW PREPARED PURSUANT 70 7W REWL7LATA215 OF CQ 111105 Ur STATE AGEACl,0 SfCTIOV5 sX1-X0b-/ 1q \ �O �Cn` as r \ '�� r 7MV 20-3"-217 AND TW'STAND4RO5 FOR SURVFY5 AND PNPI/N 79E SrA rE OF C&AFC7ll.U7•AS ALUP7ED BY TN£cawcnatr A550C/A JLAV OF 4WD 5URVEnVS, /NC.DV SEPrfMhW 26' t". f INV= 64.9't TrPE i7F SL/RVEr/5 AN/PPROVBWVT L6r,4 TIOV SLAPVEr- {,• to \ . PRLLP79ED-AND/S OMMED 70 DfPICT rW LCCA r/OV A' ,;,LF 6" \ \ \r� \` I! FRICIPLS D N19ROVD'A94TS RELA77VE 70 PRC7 ERTY L/NES. 1' • SD 2.OR ,•\ \ \ �6 �_ c- 73//s/5 A RE5f.RVEY BASED cN MAP REFEREM:E aI. p \ 1 CT IKtR?clVrAL ACCVRAACr MEE75 CLASS A?STAAVARDS AND w VeyWATER c/\ \�'p' = 74 \ '�\ \ SERVICE ,- VERTKAL ACCURACY MEFrS CLA55 T-?57ANL14RR5. �' 74. MID) Pry L./ TO KA NLMGE AND ML/EF, TN/5 P14P l5 5c8sTANTIALL r CLIRRECT AS A ll r . / \ �'• \ so` �u„ 74 NEREQV. A�i Il i &iCftAAR R. L-75%,EV, -W.., L.S..—..._- LIC. Aq c * vv APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: �� APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: �„7 SL��►oo �{Ou.S c T <V� APPLICANT: OWNER: TYPE OF STRUCTURE: �IEW BUILDING NAME: / �/7Q/CC�U]Z�C �,/ NAME: ��/✓J✓/P�Q/i✓�jQ �L ��� ❑ADDITION PHONE NUMBER: Op "'��)�7' M; PHONE NUMBER: / "�J�Os J ❑EXISTING BUILDING ADDRESS:.,a ADDRESS: 40OO G�iQr�L �p TYPE OF USE: �'OvTy wi.�/y�c.� c i fiv/i � • F' C �SID>;NTIAI, a COMMERCIAL m 6o`7Y Se�74f w�,�/h�oic©6'G 7 /11 ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:: TYPE OF INSTALLATION: /j/At l/���/G /1/L�7'✓ .S/it/GL tT.�if'I�L!� SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: J 3 2 C NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: /0 ESTIMATED COST:$ 5 00 NUMBER OF SWITCHES: J�� NUMBER OF LIGHT FIXTURES: d2 0 FEE ENCLOSED:S NUMBER OF A/C CIRCUITS: FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: r�U PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: Ab 321S �yT-YPPiE:: r STATE: G T SIGNATURE OF APPLICANT: 7 /20i1-- 4o-�f[� DATE: y l� a� Igoi-73� SITE COMPLIANCE CHECKLIST TOWN OF SOUTH WINDSON,CONNECTICUT *****FOR C OF O***** OCT ADDRESS as� sGhcbltinris�- /�, LDT/uNIT#*---2—_ Reviewed by �O (Engi -ng) CONTACT/DEV 11 j la Q fJ al r' Date Reviewed E n '`, WINDSM PLOMNO DEPT. PH* Reviewed by—jd ,L (Planning) Date Submitted D Date Reviewed �)y App Denied Date Reviewed Approved/Denied(Health) As required in the Zoning and/or Subdivision Regulations,no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A ---L� 1. Approved building permit plan _ 2. Finish grading per approved building permit plan 3. Site work; i.e.trees,shrubs, dumpsters,required parldng _ 4. Utility location; /. a. sanitary sewer/septic systems -�' b. foundation drain C. electrical&telephone ` d. water l e. o>#W. C.rti.,A l 5. Sewer connection charge paid ' 6. Appropriate certification 7. Bonding 8. Planning&Zoning/ Inland Wetlands Considerations a. Lighting b. Signage Freestanding Wall C. Fee in lieu of Open Space COMMENTS: s/engineenng/molbY/site compliance dxddist APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE) 860-644-2511 EXT. 230 PERMIT NUMBER: DEPARTMENT DECISION J APPLICATION IS HEREBY: / ��U��? APPROVED: BLDG.PERMIT NUMBER: DATE INSP R LOCATION OF WORK: J c �,�I 1 A2t.5 c= b r APPLICANT: OWNER: //TYPE OF STRUCTURE: OdW BUILDING NAME: Q NAME: is/ tee.i i . IaI�r< ❑ADDITION PHONE NUMBER$hD C�'.L PHONE NUMBER (5 j 7 ❑EXISTING BUILDING ADDRESS: -7n ADDRESS: L/07� �'1/1,0 � _ TYPE OF USE: JVMEeSIDENTIAL a COMMERCIAL v //HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: % Q` r TYPE OF SYSTEM: WIIEATING 1��.� �' YV ` x S,TG HEATING: —Sdl)L, %4-6 TOTAL HEAT LOSS(BTUH 1 c"F (HEAT LOSS SHEET REQUIRED) r-7:, rn.,r' -c^ ,�J/r I f �T fL DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): r ESTIMATED COST:S Z ADZ CONDITIONING: � 1 DESIGN TEMP:OUTSIDE�'F INSIDE 11--°F DIFFERENCE_F' FEE ENCLOSED:S TOTAL HEAT GAIN(BTUH)31AI„OAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS SI.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART A-agvij -A OF THE PERMIT FEE) THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODE K. S IN THE PERFOMANCE OF SUCH WORK ES CONTRACTORS LICENSE NO.: 7 E. STATE:�r SIGNATURE OF APPLICANT: DATE: ao 7014 �y Electric # _ APPLICATION FO BUILDING PERMIT Plumbing# HVAC# 19(If� 4CS( 4tm hi Sprinkler# FINAL APPROVALS Estimated Cost $ / 7s C,>Q Building _ COMPLETE RED BOXED AREAS Permit Fee $ 31 w Engineering _ Occupancy Fee $ 3 C •oo Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. - ► SIGN ON REVERSE SIDE A Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigne hereby applies to do work according to the following: Applicant r V U4 n 1100 A-% ) n of work a,o NLotNo. Applicant's Address C t Tel # (�f•Cr I-D-7 S--N— Town r�� ��� \,I� ;��SvJ' Zip QC�G7¢ Lic.# IUoZ� Owner ` (k Architect V&)-,A Owner's Address Architect's Address Zip C Zi Sq. Ft. New Area: 1 st FI. 1 3 1 l- 2nd Fl. 3rd FI. Total New Area 3 Purpose of this permit ] J -- c City Water Well J Septic System J Sew Ins: HO SP t. Area Basement Garage Approved by Date y)— 1 Use Group ConstrycLZon/ pe /�/�J sed 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines, side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS nI � l /1�;- 51lo(- a �)1 C�'#1QU 7 - 9-1+z�j TO LEGEND EXISTING Jp DEScmPTHDN BORINGS *t F BORING/TEST PR LOCATION .2" 5PRUCC \ y a COIMMCl1T1011 oWaIEAD COW tAFS tear A ETra _/'/OUS£ ♦ \ 4 — CX— UNDERGROUND COMMUNICATION LANES ./VE ♦ D£nWED - CONTROL POINTS OPEN SPACE BENCHMARK AREA: C M $' J1,J05t SF O �► DOMESTIC WATER H 'r'`r�i 0.719 s o w WX— WATER YAM APPROX. wsx- WATER SERMCE L OCA 77ON OF ® ♦?�•{�• \ UNIT 2 g WATER VALVE NG F0077NG �TO�gI e FIRE HYDRANT DRAIN p+ J LIGHTING 7705 NARFUL us POLE �LIGHT FF GAR.•75.46 DECK // 1B 2" MAPLE �. to L�"+ — — — — LOCATION PLAN z A At �l�E GAS RAUN FD INV. �15 ♦ NTS �� 1•jf' }6 — cSX — COLS SmvICE LANE ♦ i POWER _ 67 0--t j 2" WHITE PINE ELECTRICAL LINES,OVERHEAD 1.20 ' EUX - ELECTRICAL LASS.FOUND qu UTILITY POLE PROPERTY PROPERTY LINE \ / / ! UNIT 12 EASEMENT LIE 25 SCHOALHOI/SE L1�pE� \ � / OR/VF ° IRON PIPE Z• o+ a 9 UG\POP. p MONUMENT `\ TAN E �s Ls _ OLL} `off ^ Q PA 110 Nb ROADS GUARD RAIL V `\ \ /� �\ �K4 ti•. /,�' �.. v OR o SITE fEATIaES f O EDGE OF WATER \ / DECK y —x x— AIAABm WIRE EE210E / UNIT{3 —0-0— CHAIN LINK nD CE o+ A.C. PAD 1 9, 37 SCHOOLHOUSE RAIL FENCE / Eu HA TCHWA Y i c e e pE STOCKADE FENCE / \ \ BUILDING �� iR. I I i l A •-• TREE /\SSW \ Q�/ 2.0' UNIT 2 SANITARY SEWER \ ° \ 2 1 •1� FF.•77 26 Lu N — SX— SANITARY SEWER MAIN \ \ \ TV Aox FF GAR. 7Jr 72 1, 'yU) SSX - SANITARY SEMEN SERVICE LINE ® SANITARY SEWER MANHOLE \ C84 \\ \ " -O SON. LA 7. smRY SEWER \ +O \ 0 n INV.•70.6f Q z — pX— sraRL1 DRAIN PPE FD INV. 6p. 0 STORY DRAIN MAN ME \ 134 UG PROP. \ \ 1 67 5t j `� 1. ALPOYAn Is W BC AR 2vw d 0 cuRe.REP % TANK �< 5�0' �6 z KMANF*W °SNOC4YED B DESI FEW GN Aia ON 0Nar�rert Fors AAn o y p CATCH BASIN \� 4\ 1.1' DECK •' WPFIRwCrr ILDKrR CONS7Iw CrMW RAW.GRAORC WIN BE rnA=rEfED O 4 toporARAPHn +� ' \ \ f S CONC. l NbwZOVTAL DA RW IS BA4D aV R.WIRr NFRRCK OA RIY 6 NA IOAR O W ; - -95- - CONTOUR \ f7 r X6/.95 SPOT CONTOUR ELEVATION \ / S AS ZICINC D Ch NOr FALL MNiv Df LY75 BW A 01110OOD HAZARD ZI'Do N4 J PAD AS SOUIN N MEZ 7FY FLOODIC/VSL WWOR RCO YAP 017g0./J70 CF 673 O Z O S ` g t'\ CG SW/N AM0MMUIWrY EL GLMOECIA7/T IFiMrN CLAYEY PAAEL J79 K 2 NWT N WETLANDS Oo� \O / { \ M1`; •z2' AOMNsnRN r AIANACERENT�vcl��Ac AM7E �i FA WETLANDS LINE \ \ `\ \ F BIT. DRIVE S AAD Al 7ED A UNN W SEIW C M17 FACLTY Rr FR ILS r=910 D (n Q AAo AoIID FLAEv AN SE BEEN c'cWA°FEA AV PART AWS R av EL1p87 \ ' SOL"CES 7VTAL A/ENOES a A PAACC aVSWf yr AAD PALWN UM O 'l0' SOLWCES MEI LOA r P R SU BF CC narsRED AS usr av G lE W BUILDING YARAa w OF'u(L r.DAsx STAND!rA rr 01s YAP OFFS 01 NNE NVC RE E7n51EARCE IX RAND n LA crA OF f ro Or I A Rams IWG \ ' / UNIT.3 NNE m u Fwv AND uaFxv aE w�Ate smwWD' 4) RAGS NIAE BE \� * \ ♦ TOC.•78.41 � AAD NEAREXD or nE AAiRw LW4fE AunAaWres PRLRv 7. cowmAcm 3mL CYWTAcr'c4u aDmw MU ow FOR UI nftwam SyQF .\ si� \ , UNJTY YMICMC A NEASr rw FULL omm oA YS Aim ro SrARr a, CONSMUCIAMt►-800-922-4/15 OP M N(CS)OACWL 4\ \ / Gilol l AO,QC YAP Ax7rTaAA7rr L PRODWSS WWENE SOWN OCs wWW HOUSE'a �COWEC rnaA AMPARED \ / N !, rm AUNVARAo&ADERs sw vA7LRrOnl/Ts sCALE/-4o•BY"mw ¢T AIH2 +!�\ C•1 s Err r✓]�RAMW SU?Wr RAY AZUCO AC ON 7L 6124118 yAAAC �/ \ `\ \ �>� UG,P/c,IQP. '4 r�or AVLc»w�c.scvE r�40•or BEsw /� e' TA IC s EASOCIPr YAP AXE N&MX7 COINVA WV RAN YAP 90MV �( \ �. EASEvDvr AREA to BE VRwmv cLWMEcmvr U LW OYr t Poww CPANY /\ S \ s { 1SA ElfRSOUIT E DWRGY ACROSS AE PROANrr YAAW~81AIM S AWC WA PER EASFMDVr '� \ a�" A c 7ss FUAAcrm Raw swyH wA7sm cr DAW.7/4s/rs PRip Ev 1F=713 `E\2663 PANE 314 \ \ FMW 1 WAiRPAD atDIWS/VG SC"I1"I0•BY DESIGN ARCKE35tlYAL S AVV-688(CW.$) / \ A roc AN1FR EASENEWF PLAN s7A0aACILSE AWW 75.0 ELLAwmm ROAD \ YAP 24 LOr 184 SLYAIII IWTDSYAt cr"IINrDP&Lw"r PLAN OA7E F /NV-68.9(N) \ S} C2 °N ro-25-r7 PREPARED Fm YANVAA m aamm wC scALr r'"4o•or \ 70'WX \ DEMON PROFESSKAW tS M aaP EAs£APENT S SCIVOiRA10USE AWW WIr PLANS BEsrnlm AE99EWIM OEIfLO^W[TVT 7W n VqL 2667 } \ . HLAA m AON4/84 A�r vAucr RCMw SCUYN Immesot cr YAP k PALE 243 O S or armw PRaamOVA"Alc ^ B API°IMANn Rsx REicL»w+C: Sr ALP/ s Abe Ag / 1r.7443 y L IM SLOWY AND AMP MS NEOV PREPARED AM"Nr ro AE KRAAAOS OF ' eVV-64.M / COWIELAW SrAJF AOEASZS IECAriS"-Xab-I FRU 20-JD 0-X AW PC SYAAAVIS P0R 9RIEM AND YMS N FE SrAOE 'OOMECACTAY AS O ANOO^IED or RE COWECAOVr AZ"Ari Or LAND SUPIEVORS/IC QV N / SrPAOBR AFAKE r . 7NC OF.WA WY 6 A F19091ESS MONVI AEW LAIN AN SCRIEY-RECO R A / AND 66n L�ro OEFWr BE LOCI AM Or WWOMM AnA FIE to O Z W \ . A6 6 A AE3EffWr BASED OV MAPS RUES90TD PROUD[ . AIVUONAM AOOAPACY AEL7s QASS A-2 STAovAoW IERAGNL ALLT/NCr V WEIS CAS r-2 SMAONADS AWVQR4AWM ACLUP4CYA07S LASS F-2 S7AAOAADS 0 ro Yr A vows CF AM7 ma FAS Aw 6 smTAMB4LY cmRR'CrAs Aoxv -, SCALE: 0 10, 20' 40' "E°W War 1' - 20, i" ix ma V-1 II! e 7C 771" WD OCT 10 ZUIy SOUTH WINDSOR ENGINEERING DEPT. FR7CED SITE COMPLIANCE CHECKLI5TTOWN OF SoiiiTtl WINDSOR,CONNECtICUT 19 *****BUILDING PERMIT***** ADDRESS r�S � $4UIIl YNfdCSrr'D `:u:t;•,CEPT. d`' "�� NIVTf#_Reviewed by (Engi eenng CONTACT/bEV V ( (n 2A C•, Date Reviewed s /Denied Reviewed by (Planning) Date Submitted J��/ -l�/ Date R S ! �.wnied. Reviewed by (Health Dept) Date Reviewed_ ppmved/Dented In accordance with the Zoning and/or Subdivision Regulations,prior to the building of any structure on a lot,a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall Include: Approved Denied N/A 1. Name,address&phone number of owner/applicant 2. Name,address&phone number of plan preP� 3. Zoning Infor�natlon—i.e.zone,open space, / floodway,street address ..tom 4. Plot Plan at 1'= o scale a, Subdivision reference.abutting properties..etc. b. Easements of record Q Lot description,bearings,building Ones, distances,area,etc. d. existing&proposed,1 Or 2ft.Interval where appropriate e. Building locaton with dimensions.Elevations of proposed Knish floor,garage floor¢erline of road at driveway f. Elevations of gravity drainage systems,sanitary &foundation drAln at the house and the street g. Tentative utility location(gas,water,electric~ j septic system,et,— h. Title block with name&address of preparer, date,appropriate certification;hive seal&live signature comistent with the Board of. Registratlon requirements.(P.E.&LS.) S. Sedimentation and erosion control 6... Special flaming&Zoning,Inlard/Wedands considerations(Plans on file w/Town Cleric) COMMENTS: jengineertWm iloy/bulldng compliance chedidtst PE T NOTES: n �T " 4A H 0 1. Contractor shall verify layout dimensions and current site a6 \ topography. Current site topography may differ from depicted. :g / contractor must verify existing topography allows for grading and / LOT #/ U271 utility cover as shown. Any discrepancies shall be reported in 15 School Nouse \ \\ VC writing to the design engineer and architect prior to construction. Drive �1 2. Contractor shall coordinate installation of all underground utilities ��_ \ with respective utility company. c H / IM H ��� .�•/ / ` 1 3. Refer to site plan drawings for existing conditions information, H,� •_ �1�� 6p (�• / 9�s, \ other proposed site features, and erosion control measures. o 4. Refer to architectural drawings for detailed building dimensions. 5. Grade to drain away from all buildings. \ / I� I• I 74.50' / 6. Roof leaders shall discharge to splash blocks at grade. 6p N 7. Setback requirements between buildings shall comply with South \ / v' ♦ \ Windsor zoning regulations and Fire Codes. S,tt dj !3 zil,� 8. Contractor to confirm existing sewer lateral is consistent with r \ // ♦ proposed invert. If existing lateral invert does not allow for a g g �^ �c yp PROPOSED $� I minimum of 2.0% slope, the lateral is to be modified to provide ,� o 6 UNDERGROUND 74.80' >%y' ELECTRICAL }� �S s�j�. �� I the minimum slope from sewer manhole to end. q�^ SERVICE / o ;cBit$ .0 PROPOSED UNDERGROUND UTILITIES lot moo / EU Electric & Communications \ UNIT #3 W 1" Domestic Water Supply �; 6x�in / 37 School f-louse Gs Gas (propane) �UNDERGROUI�15 Drive FD 4" PVC Foundation Drain L ss 6" PVC SDR-35 Sanitary Sewer ^ 4) G PROPOANE ° �* � o `��� OE COIyN �,�� � o \ TANK/\ / �/ �/ ._ \ HATCHWAY �titi/ I �Q�• ENE P O/C'G O \ WATER i $ 166 SAN. INV= T.W.=76.0' �. 'SERVICE A ,9 G.F.=75.5 4•/f � - 52 ;� - (TYP) o,Q`��• BSMT.=68.5' ° 'UENSE°•����,�` t v'y I �o Oy FD. INV= ?0 I 1 S/ONAL 75.3' ` 76 1. PROP #STOIRAPN/G SURVEY - R KELLCO, INC, 755 I �• ° I ELLINGTO►OV ROAD < 760 PLEASANT VALLEY ROAD SGYITI/W/NDSOR + \ \ \ 20 I CHIMNEY CONNECT/CUT.0 PREPARED FOR RSK KELLCO BY DESIGN � \ a V �s• ti I 3..2' I PROFESS/ONALS, /AL DATE SEPTEMBER 24, 20/6 C� / I \ '��s• 2. -5901 OY.bW5E DRIVE 51TE PLANS - DE5/6NED RE5/DENT/AL 75.1, I DEVELOPMENT - 755 ELLINGTON ROAD t 760 PLEASANT VALLEY ROAD, 22 (2 WUM WIND'SOR, CGWNECT/CUT'SNEETS / TNRak;H 15, DATED 612V17 \ \ —L��� \ \ �0� °° 20, I I REVISED TO 7/////6, SCALE/'=40', BY DE5/6N PROFESSIONALS, /NC SURVEY NOTES Ck I i /. TN/S SURVEY AND MAP HAS BEEN PREPARED PURSUANT TO THE c \ ' REGULATIONS OF covIvECT/CUT STATE AGENC/E5 SECT/OWS 20-3Gbb-/ C6 \ I 93 I THRU 20-3"-20 AND THE 'STANDARDS FOR SURVEYS AND MAPS IN \ \ 4.6 THE STATE OF CONNECT/CUT'AS ADOPTED BY THE CONNECT/CUT 1.0' I AS--ZUAT/GN OF LAND SURVEYOR5, 11VC GN SEPTEMBER 26, /9%. INV= 64.9 f • TYPE OF SURVEY/5 AN/I'MPROVEMENT LOCATION SURVEY - \/ TI OF PROP05EV /MPROVEMENTSNREL TOVEETO PROPER r LIMES. 43LF w 6" 1 S / • / �\ �2G SDR-35 TN/5 /S A RESURVEY BASED CN MAP REFERENCE#/. \ \ i \S+ \ \ WATER • �R/ZGNTAL ACCURACY MEETS CLASS A-2 STANDARD'S AND *, 6` C3 �9• 74 \ VERTIC4L ACCURACY MEETS CLA55 T-2 STANDARDS. / � \ \ \ � s\ \ SERVICE �/ � 3(NP� �i1 TO MY KMOIWLEDGE AND BELIEF THIS MAP /S SU05TANT/ALLY CORRECT 74.2' \ `sso \� — —dux E / , AS NOTED NEREGN C4 sir 12327 u LAWRENCE R. 6E/55LER, JR., L.S. L/C. N 1 2 sm 1 a 1 RECEIVED MAY i 6 2019 SOUTH WINDS,)ENGINEERING DEP T. t,)0^' it 3V R b • ,w•: tcrt SpectrtrsU''^'ret 3 nt to 09 CIh19 V►'bU►ldmg or ells(^+ {`�/v^^ ita•rartlne0 lh sed } `D coprt of the Drn� �y strwo erected •t \ app� n ettA 7 statcd ,,"" A,soomm S®II fl � C`ant.e t"coi,�0►V "'Itn a' sneu a •/ tiled *lth "d St A.I3wsr and Sur A�rdutio8 � Id111� Qnden C� aas0/ guNd^a ^" d,ne lip Msu of • >��n 1 i9eued � tceHpO of this aDD► PP-rr„it. thdit the �odiNoo snot a 518^ed is eQDrovcd er go mg puiidtno te l'is and ll 7tt••• d ordioloces u food If"" ordd comDtic airy y AD9 od � G� guttdln8 tnspa� ,.to 7�400 V#UlAot T� Olesoad, e � _ 1540 SULLIVAN AVENUE•SOUTH WINDSOR,CT 06074 ��^oso�•coN`'� TELEPHONE(860)644-2511 AN AcT CONCERNING CONCRETE FOUNDATIONS: Section 1(Public Act No.16-45)g4M Mffc o m October 1,2016)Prior to the isauaace of a Cm ficxte of Occupancy fnr a new rasrdeatial or comma=l balft for which a concrete foundation was installed an or after October 1,2016,the appik ut shall provide the Bail ft Official with written docameabdon of the name of the individual or entity that supplied the concrete and the name of tho mdrvidud or entity that installed*0 concrete. Copies of sash docam to iaa shall be mamiamed in rho records of the office of the Bti ikft Official for not less thaw$fly(50)years. Please fill the information in and submit to the Building Department: Date of information received/filed: 10/10/19 Project location:_ 25 SCHOOL HOUSE DRIVE Job description: FOUNDATION CONCRETE SUPPLIER CONCRETE INSTALL Name: BUILDERS CONCRETE EAST, LLC Name: SOUTH END CONCRETE (Please Print) (Please Print) Address: P.O. BOX 133 Address: P.O. BOX 631 WILLIMANTIC, CT. 06226 SOUTHINGTON, CT. 06489 PhonelContact: 860-456-1787 Phone ContacU 860-919-5557 ApMICANT/CONTRACTOR Information: Nam; MANNARINO BUILDERS. INC. (Please Print) Address: 400 Chapel Road , Unit 3-F Phone/Contaet: 860-289-7055 F,ma; rob@mannarinobuilders.com Signature: AW Date;_10/10/19 y�t011N SE4 y r Tlov� ��CJr2t l.I o c C, 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 SOR-CO TELEPHONE (860) 644-2511 July 29, 2019 Arthur W. Utay 482 Main Street South Windsor, CT 06074 Dear Mr. Utay, It is the decision of the Demolition Delay Committee that the carriage house located at 482 Main Street, South Windsor, CT, is not a significant structure per the Town's Demolition Delay Ordinance. Therefore, the Committee has no objections to the Building Department issuing a demolition permit for the carriage house. Sincerely, Arthur W. Utay Chairman, Demolition Delay Committee cc: Chris Dougan, Town of South Windsor 10w N SEA t� 7 07 m � 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 J�OSOR•c°`'� TELEPHONE(860) 644 2511 October 4,2019 John J.Mills,IV,P.E. Design Professionals,Inc. 21 Jeffrey Drive South Windsor,CT 06074 RE: Aldi,200 Gateway Blvd., South Windsor,CT WPCA Approval—Appl. 19-39P Dear Mr.Mills: The South Windsor Water Pollution Control Authority, at its Regular Meeting on October 1, 2019, gave approval for connection to the Town's sewerage system for a proposed 19,209 sf+/-commercial building at 200 Gateway Boulevard, South Windsor, CT as more specifically shown on plans entitled "Aldi, 200 Gateway Blvd., South Windsor, CT Site Plan" Prepared by Design Professionals, South Windsor, CT; Project No. 3530.M, Sheet 6 of 8-C-UT1 "Utility Plan", Dated: 7/11/19, Revisions: 8/15/19, 9/3/19, and 9/17/19.. This approval is subject to the following conditions: 1. Payment of the following charges will be due at the time of connection,the rates for which will be in effect until June 30,2020: a. Connection Charge-in the amount of$21,011.20 for 5.36 buildable acres; b. Capacity Charge in the amount of$8,124.00 for a proposed 1.5"water meter;and c. Drain Layer Permit fee in the amount of$80.00. 6. Technical approval of the Town of South Windsor Engineering Department; and 7. Final Authority approval and acceptance of the sanitary sewerage connection is conditioned upon the installed sewer line having been inspected by the Town staff,and upon the written verification of the Town staff that said sanitary sewer line was installed in substantial conformance with the design plans approved by the Authority, and meeting all regulations and appropriate technical specifications relating to sanitary sewer construction. This approval letter must be superimposed into the final approval plans. Very Y trul yours, and Aries,Chairman Water Pollution Control Authority cc: Benjamin Wheeler,Design Professionals,Inc. Michael J. Gantick,Director of Public Works Jeff Doolittle,Assistant Director of Public Works/Town Engineer Michele Lipe,Director of Planning (Chris Dougan, Chief Building Inspector BUILDING PERMIT STATE OF CONNECTICUT • WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owner:or Sole Proprietors (Conn.Gen.Stat.§31280) Property located at In the town of Name of building permit applicant: Please check one: 1._I am the owner of the above property. 2. 'I am the sole proprietor of a business. • 2A.Name of business 2B.Federal Employer Identification Number(FBIN) .................................................................................................... .........:...... Pursuant to§31286b,"a property owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"swout notarized afiaviL..stating that he yr iff require proof of workers' compensation insurance for all tltoge employed on the job site is accordance with this chapter." Please check onyx' 1. I do not intend to so as a general contractor or principal employer. [Sign and stop here] 2.—Ihftd to act as a general contractor'or principal employer:Applicant must either pl ovide a certificate of WorkeW compensation insurance or sign the affidavit bblow; ........................................................................:......................................... :. AMdavit I hereby swear and attest that I will require proof of worimW compensation insurance for every contractor,subco®ttor,or other wodcwr before helshe m* pgaa in work on the above property in accordance with di`'WoeiW Compensation Act{Chapters 568). I understand that.pmmmt to,j 31-275 COB,officers of a corporation and partners in a elect to be exchuted fi"coverage by_filia&a wawa°with the a District O> and that a sole proprietor of a business is not roquired to`hav�oor"np onkss 1a Ales his intent-Waccept,covence _-. - --- --- - --------- .. .- S' of licant . aPP Subscn'bed and sworn to before me this day of ;200 . (Notary Public(Commissioner of the Superior Court) SITE COMPLIANCE CHECKLIST T`' TOWN OF SOUTH WINDSOR,CONNECTICUT ETV IED ***** FOR C OF O***** 1 JAN 0 8 2020 ADDRESS � 7° 9 5ba ck,I LOTNNIT# J Reviewed by �rl (E_ �J D DEPT -..LNG CONTACT/DEV gc:� Date Reviewed ;f�I I Approved/Denied PH# �Io� V'I Reviewed by Z (Planning) I Date Submitted l'� Date Reviewed o14 Approvelt/Denied Date Reviewed Approved/Denied(Health) As required in the Zoning and/or Subdivision Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A 1. Approved building permit plan ✓ 2. Finish grading per approved building permit plan —sue 3. Site work; i.e. trees,shrubs, dumpsters,required parking 4. Utility location; ✓ a. sanitary sewer/septic systems b. foundation drain C. electrical &telephone d. water e. other a' 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning&Zoning/ Inland Wetlands Considerations a. Lighting b. Signage Freestanding Wall C. Fee in lieu of Open Space COMMENTS: s/engineering/molloy/site compliance checklist EASEMENT IN FAVOR OF ? CONNECnCUT LIGHT&POWE7R COMPANY F' ` 7 DOA EY£RSOURCr ENERGY Y 6 (KX 2498 PC 78) E 2 WATER EASEMENT/N FA NCR OF THE METROPOLITAN D/S1R/CT 6 • YANKS£GAS EASr'M£NT 6 C y CB KP (VOL 2500 PG J2) , Q)M ■ / INl<N/A / / r *, I I Gw LANDSCAPING x lb I x67.B x66..2 0 4+ 00�T V I G. P STONE MAP R£f x u \J I I PAD ER£N(YS �jy O N 1. PROPERTY& 70POLRAPHIC SURVEY PREPARED FOR- HORSESHOE LANE O P 40.3 gyO1/ x ASSOCIATES LLC 18-3 ARMUR ORIW SOUTH IWNDSOR CONNECACUT "'u 1.0' I DATE.• 12/09/13 SHEET VT-1 SCALE- Y= ioo'PREPARED BY Dem Z u Z 00 l I I CB / PROFESSIONAL.% INC q 0 O §I 0 # O TF.•67.27 2. EASEMENT A' TOPOGRAPHIC PLAN PREPARED FOR FRONTIER 5 m u o Z \ O INN.N/A ��+ CONMUNICAAONS 1 PEPIN PLACE SOUTH W7NOSOR, CT SCALE.• 1'= 70' 00 c \ ' / SHEET V-I DAIS. 6/19/15 PREPARED FOR DE900V PWESSIONALS INC Coe, ~ \ 3 COMP/LA77ON PLAN MAP SHOWING EASEMENT AREA TO BE GRANTED TO F O UNIT/JO 3• ` \ / YANK£E GAS SERVICES COMPANY ACROSS 7HE PROPERTY OF T A•M ~ /69 SHEPARD WAY ``- \' BUILDING CO., INC PLEASANT VALLEY ROAD SOUTH W/NDSOR, FF.• 70.84 t k CONNEC77CUT FILE NO. E4077 DATE- 07102114 REWSY••D 11/14/15 SCALE.• 1'- 100'PREPARED BY DES✓GN PROFESSIONAL% INC E o P fF GAR. 68.79 m � � 4. COMPILA770V PLAN CZ&P f7LE NUMBER E4084 MAP SHOWING EASEMENT � RAT p �/E I . \ AREA 70 BE GRANTED TO THE CONNEC77CUT LIGHT&POWER COMPANY 67.9 o DRY I ' ' / / ACROSS PROPERTY OF T&M BUILDING CO. INC. PLEASANT VALLEY ROAD 20' 1 1 SOUTH WINDSOR CVNNEC77CUT DAIS.• 08119174 SHEET 1 OF 1 Vl-1 x 68.9 x 67.5 2.0' x'r SCALE.' 1'= 100'PREPARED BY DE57L:N PROFESSIONAL.% INC. 5.0 6AO \ 5. MDC EASEMENT MAP PREPARED FOR. HORSESHOE LANE ASSOLJA7E$ LLC 0 j 5.7 5 2 a 2• ►5r\ \ NUTMEG WAGE DATE.• 7/15/Y3 REVISED.• 12120113 SCALE'. 1'=BO' N t \ I at I _` \, 0 57IEE7S MDC-1 THRU MDC-4 PREPARED BY Dt'Y&V PROFF59O'VALS INC 0 lg\ 0 6. GRADING PLAN SOUTH IWNOSOR WOODS PLEASANT VALLEY ROAD SOUTH 1 ' AC�I/ll� 21, x \ WINDSOR, COVNEC77CUT SHEETS CG-1 7HRU CG-5 SCALE 1'= 40'DATE.• Z Q�oc O x 67.6 \ °i I 12 20 3 PREPARED BY DESIGN PROFESSIONAL$ INC O V I \ x 67.5 O iG 8'T 1 7. EASEMENT PLAN(DRAINAGE)HORSESHOE LANE ASSOCIATES` LLC 3 0" s{ x67.J AC UNIT 5.2 0. DRIVE `1 ' �• PLEASANT VALLEY ROAD SOC17H IWNDSOR, CONNEC77CUTSHLET V1-1 O; 0 I 5 T1 5• 1 / \ SCALE' 1'- 40'DA7E.• 111061IJ PREPARED BY DESIGN PROFESSIONALS T C. `9.-2 8 EASEMENT PLAN(ACCESS)HORSESHOE LANE ASSOCYA7E l... s '�3 I 67.6� 2 0' l LLC PLEASANT VALLEY ROAD SOUTH WINDSCR CONNEC77CUT 3.2 I I I SHEET W-1 SCALE' 1'= 40'LA7E.• 11/06/TJ PREPARED BY 0 x 67.2 x 67.J 2.0'UNIT/J7 3x DESIGN PR0FESSYON4LS INC 0 I ,/67 SHEPARD WA Y 13 9- I I y O w FF.- 70.84 11 / n/ STONE ^ FF GAR- 68.79 1 I / 1. ALL MOVUM£NTA77ON FOUND OR SET IS DEPICTED HEREON!1.1' 2. HORIZONTAL DATUM IS NAD 8.1 W R77CAL DATUM/S NAND 88 / Z� J. PROPERTY/S/N THE/NDUSMIAL ZONE AND MF-AA ZONE. e g 0 E) AD q , 4+ 4. THE PARCY2 AREA -2,15t{1L78 souARE FEET OR 49.547 ACRES 7 "• yy+''.✓ 7 / // 5 GAS SERWCr LINES ARE NOT DEPICTED. GAS COMPANY DOES NOT HAVE /69 / box �* / y+ /NFORMA770N REGARDING S£RWCES DUE TO RECENT CONSIRUCAON. 40.3 \ J 6. PROPERTY IS NOT/N A FLOOD HAZARD AREA AS DEP/CIED ON ME�7RM FZOOD INSURANCE ZE RA MAP HARTFORD COUNTY, COWNEC77CUT(ALL wQp / S x 67.2 \ b1• / / / / / / 7 A RISOIC77ONS)PANEL J78 OF 675 MAP NUMBER 0900JCVJ78F EFFEC77V£ /6 DA SEPMMBER 26, 2008' N 75 / / 'c'+ TE.•�� 7. THE LOC4770N OF THE INTERIOR PARTY WALLS HAVE'NOT BEEN WRInED. / / 6, 9+ �� �■ ` �� / 9 DESIGN PROFESSIONALS INC MAKES NO CER70CA77ON REZAME TO THE 0 66• / cv Q. / + ►7 / LOCATION OF SUCH/LATER/OR WALLS N J S x �� l/ ,Yy / y+ 8 UNDERGROUND UAUTY, S7RUC7URE AND FACYUTY LOCA 77AVS DEP/C7ED AND G NOTED HEREON HAP£BEEN COMPILED, IN PART, FROM RECORD MAPPING M Ci> // --• \ � 7 7/ + SUPPLIED BY THE RESPEC77V£UTILITY COMPANIES OR GOVERNMENTAL � AGENCY£$ FROM PAROL 7ES77MOIVY AND FROM 07HER SOURCES: 7HES£ LOCA770NS MUST BE CONSIDERED AS APPROXIMATE IN NATURE. ADD/7700141LY, \ f/y+ /- OTHER SUCH FEA7URES MAY EXIST ON THE SITE 7HE EX/S7ENCE OF WHICH WN V" ARE UNKNO TO DESIGN PRONFSS/ONALS, INC ME SYZ£, LOCA770M AND + EX/SM NCE OF ALL SUCH FEA7URES MUST BE FIELD DETERMINED AND VERIFIED DECK 6.9 +Q // �� �+ BY ME APPROPMAIE AUTHOR177ES PR/OR TO CONSIRUC770N. CALL BEFORE YOU DIG 1-800-92-4455 DMH ELt58.25 � jk• ••/ � a�, ''� / '� 1. THIS SURVEY AND MAP HAS BEEN PREPARED PURSUANT TO 7T/E REIX/LA7PoNS CN• �.. AC UNIT / ! C,+ CONNEC77C7/T STATE AGOVaES SEC71avS 10-J"-1 7HRU 20-J"-20 AND 77C STANDARDS FAR SURVEYS AND MAPS/N THE SU IF OF CLY✓NEC77CY/Y AS ADOPIED BY 7hr COWNEC7TCY7T AS5OaA77ON OF LAND SURVEYORS INC OV o ` / SZP7£MW R 26, 1996. m o C1 2.1' \ x 66.3 .'� �J /y+ /' - - y ci / �,' . IS r or#V7FAOEM 7Y�T ME LL�77OLOF VET!nov H7S� 70 Q w G+ PROPLRTrLavts N �p 2.1' ( .�+ �LO �+ . THIS/S A R£SURWY SAS£D OV MAP REFERENCED h"ECN. LLA (fA Yi �• 2.1' s r ,'1 f /' �\ j(`QP / • HORIZONTAL ACCINACYMEEIS CXASSA-2 STANDARDS AND VERTICAL 1.2' ACCURACY MEE7S CLASS T-2 STANDARDS cc t- 6 TO MY OWLEDGE"AND BELIEF, MIS MAP IS SYBSTANBALL Y CORRB"CT AS 20' NO cc 101,60 SCALE: O 10' 20' �, 40' 12M7 SHEET v ' 1, - 20' N / L UG NA V-1 RECEIVED JAN 0l Z020 SOUTH V.'44:SOR ENGINEERING G=_rr. Town ales-cw� a�~~ 1540 SULLIVAN AVENUE •SOUTH WINDSPA, CT 06074 cO TELEPHONE (960) 644-2511 'Aril ACor CONCERNING CONCRETE FOUNDATIONS:. Section 106&Act No.16-45)MM(affective October 1,2016)Prior to tbo issuance of a C"Ifficate of OcoVemy for a new residential or commercial building for which a concrete foundation was installed,on or afar October 4 2016,the applioant shall provide the Buff ft Official with written dom=outedon of the name of the individual or entity that supplW the concrete and the namte of the individual or entity that installed the cow* Copies of each docamaatat on shag be wabbinod in the records of the office of the Building Official fvr not less than ffft(50)years. Please fill the information in and submit to the Bu Rding Department: Date of h iformatlon recelvegd/fikd: ProJect tocattoxa:_ 3*mat4 Job desa 1ption: ao, ZI ` ll y 7 ' CU2UMM duu= cU o==TALLER Name: Alu 1 aid.s Cv&ydf. Nwne: 9 6 4 V y (Ploaee Print) (FlossPrint) Addras:,.,� Address:� vor Ory Phone/Contact; a' J'��' Y�l Phone Condom Ll#• iff/ Af' LWAW,/CQ ,' Yt=0R form_allon; w (Pleaso Print) \j Address:_ �� ,(//O� �Y". Phone/Contact: fl'•Yl�9 9��1 ,04 IQU 66 016 E-.A: S&b.9&•2ntYiG G� 7Qy1�1�{, !011y ; natnxe: •ram` Date: Jet Stream® Ultra Blowing Wool Insulation "° r Attic and Cavity Wall Card knufamor.i BUILDER'S INSULATION STATEMENT Jet Stream Ultra has been installed in conformance with the included recommendations to provide o thermal resistance of ---_--____._.—� �. ....w �R-Vohrs� •'• „�.e..._...:s.,.,.>a. Tbiela+ess ...�.,_,.._,..�.,..,.,..,.._..,. `�W Y..�,.W, .....,.`� ._._....� ,, Affic Areo R S, .:.sn...>..._.a., at,,,......._�•:,.: -•,-T'." Inches _-------'--- ___.__-_.!__3_�__ Sloped Ceilings I R- f Walls R al Inches ------------- Floors lover an wi6euted crow)space) R- at -.---__- _--s Inches ---- Crov,f Space perimeter R. at Inches Dole Installed __�---1 ' � - ---------' -- ------ --------- j Address Sa��N� �-f 81own msvlotton has been installed inconformen d,the ab m ove recomendotions to provide on R•volue of:R•, ' using bags of this insulation to cover 1 C square feel of area at a mrmmum thickness of 7'=inches - Insulation Contractor(signature) Cam,,any..�/��,� fr��1(,.��_l?�+►1 !rS �,[j�(� �Date Home Builder Isignuture) Company I Date BATTS AND BLANKETS FRAMING ADJUSTMENT When installed in accordance with the manufacturer's recommendations,Knouf To compensate for framing members,the number of bogs per 1,000 h'of area to Insulation baits and blankets will provide the full R•value. be insulated should be as shown below. MUmrnuro Tfad &mess �T � 9f� - -T—.�9s� -- R V°�Q ry Dimerrsioru 16e O.G Framing, 24"O.C.Framing To obtain on insulation 1;st led insulation should 4 - 2x4 - 29 2 _ 29 4 resistance(R-Volue)at- rid be less than: .--•_--___--.- R•49 13 75' R-60 2x6 2_8.9 29 1 R 38 HD -- - - - - 10 25` - _ _ 2x8 286 289 -1- - - R-38 1 12 00' -2x4 ` 23 0 23.2 -- --._ . ...-- - --'- ------ --- R-49 2x R-30HD I 825' 6 22 7 22 9 _._�f_._.____-____ R 30 -- - 10 00• -- 2x8--- ----22'4 --- 227 R Z6 --- .. '- '-- ----9�� 2.4 1 204 206 ----- R•22 - -- )-- ------ -650- - 2x6 -� --2-1 -� 203 R•21 HD T 5 50" -_2.8 - - 19 8 ---_ ---.--20 1 2x4 17 3 174 R•19 6 25'.. --------'- --- ..-_....--_� R-38 2x6 170 172 R.15FID 350' - --- --- ---- --- ---- '- '-----._._.--... --------- i2x8- -167 1 170 R-i 3 3 50" _......_._..__...._____...__._.___._ -- -_._.. R-11 3 50' 2x4 132 133 - R-30 2x6 129 t a t 2x8 126 1 12_9 ••R-I a in o 5 5'cavity Ccnlo•ms so ASTM C665 and Federal Specification H-1-521 F 11.3 11 d - R-26 2x6 - -11 0 - --i 11 2 -- - 2.8 -_� -- - 10 8 { 110 2x4 93 1 9.5 R-22 ---2. 6 --— 91-- 1 93 9 79 R 19 2x6 77 79 2.8 1 7 4 - --� 77 2x4 R-13 2x6 ! 5 0 5 2 2x8 - 1 4'8- S 0 2x4 43 44 L lbn product.s cove,ed by one of mate U S mid/or other patents R-11 2x6_____ 41 - - 11 43 See patent ww k wncul,nsutob _—on Ls/patents 2xs _...38 74Sales(800)M4434 ext.$485 1 Technical Support(800)825.4434 ext.8727 1 info.usaknoufinsulation.lomN��ft ikS i One Knauf Drive,She Rile,IN 46176 (©1011 Kncuf Insulation,Inc. 1111-MIM 1 08.17 1 wwwknaufinsulation.us RECEIVED MAR 03 2020 Q CT 06074 g Dept � �oV 1540 SULLIVAN AVENUE`�SOUTH WINDS PA, >outn Windsor Euiidin TELEPHONE (860) 644-2511 Am AcT CONCERNING CONCRIETE FOUNIDATIONS:. Section 1(Public Ad No.16.45)(1`TBW)(Bffeotine October 1,2016)Prior to the issuance of a Cameate of Ooottjraaay four a new midautial or commecoial building for whioh a conor to foundation was installed on or Mar r October 1,2016,the applloact shall provide the Budit OfHoial with written docvmmtation of dw namo of the ladivldtbal or entity that sgpUed the couoreto and the name of the individual or entity that installed the conoreto. Copies of such documeatafim shah be m*kilned is the records of tho oTh of the Building Offioial.For not lass than fitly(50)years, Please fM the information iA and submit to the Building Department: Date ofhiformatEon recah►end/ttled: Project location: 29,441 01 v 1496E&( W 0 l�/L Job deacrlption• Yz) J `i la 1C)ay GQI�CRETE 8UPP7.Iilt ��,�jGRETE INSTALLER Name: AulkArR CDHiad-C Name: B 6 SND"I (Please Print) (Please Print) Addrew:, A4.!-.d II'Lli 4. &,e $ , ...... Addrgw: or ! . ,- 5 B Phone/Contact: L' J��' �l Phone Comsat: -'6'��• ✓�'��„�' Nt mxe: N• 6. 04Is/, 1ft w-, (Pima HMO -1J Ad&reas:_ ,r/L'O �t Yhoxie/Cwttact: �' 2U 1 vr/' tW 66,, t9,6;rfvE-ma: 8m6 .�T a�.�9f.Y/L . !oAV Sign Date: i Jet Stream® Ultra Blowing Wool Insulation Attic and Cavity Wall Card knupvsnv,�w BUILDER'S INSULATION STATEMENT Jet Stream Ultra has been installed in conformance with the included recommendations to provide a thermal resistance of: Thidmess Atnc Area I R_ d (...� Inches Sloped Ceilings R• at Inches Was T R•- at Inches fFloors(own on unheated crow)space) R- or Inches Crowl Spice Perimeter R• �Fat I xhes Dote Installed Address 3u I 1--- (,V� Lit � 5� +}-, tJ 0 06 � Ns��a�'ir Cl t-� Blown insulator has been installed in conlamonc the obove recommendations to provide an R-volue of R•'s using bogs of this insulation to cover 1( P squore feel of area at a minimum thickness of _inches l Insulation Contractor Isignature) Company b-S a 17N 1) 1 r r a etC•�s; Date D D Homa Builder(s:gnoture) Company Dab - BATTS AND BLANKETS FRAMING ADJUSTMENT When installed in accordance with the manulacturer's recommendations,Knout To compensate for froming members,the number of bogs per 1,000 h7 of area to Insulation bans and blankets will provide the full R-volue. be insulated should be as shown below. R Ydue' MMimum Thickness R_V" t Jaw ��'-��sIMSF Bogs/MSF bt 1.�1> sionts 16e O.G froming I _24e O.C.Fr snsin9 To oam an insulation Initialed inwlotion J ould '-"' resistance(R-Value)4. not be less than: 2.4 - --292 - - --- 294 R-49 --_ -- _-- 1375" --_- --- R 60 2x6 289 29 1 __. _ -------- -- R.38 HD 10 25" 2x8 28 6 28 9 -- -- -R.38------ -----.12 00• --- ----2x4 23 0 232 ----- R-30 HD 8 25" R 49 2x6- + 22.7 229 R 30 10 00• — 2.8 -- 224 227 ----- ----- •- -------- 2x4 204 206 R-26 900• ------ --- - - - - --—-— —`--- Rd4 2x6 20 1 T 20 3 R-22 � 650• --.---_----- - � ... - - -- ------__.---------- 2x8 j--- ._- I R-21 1 HD 5 50• ------- ------------I+-------- 201 ---98- 1 R-19-- 625... -_ -- 2x4 ---+--- 173 -- 174 -- -------- R-38 2x6 I -_�--- R�15HD r--- __'____350• I - -----+-- -- t7o 172 --- --- - -- --- s -- -------- - 2x8 167 170 R•13 350• --. R•11 _350• {� 132-----_-.-1..----_13.3.__ R 8 2 50. - --+ R-30 — 2x6— I 12 9 13 1__ - l-- - - `-- ----- 2x8 126 129 ••R•18.n o 5 5'cavity Confo,ms to ASTM C665 and Federol Specnhcat.w HH.4521F - --- ------ 2x4_ 11 3 11 4 R-26 --- 2x6 I I A —- 11 2 24 -----10 8 -- I 1 0 2.4 9.3 - j 95 R-22 - 2x6 91 _-_..l 9 3 T t-- -�2x8 88 91 2.4 ------ -79 - i 8I- R-19 2x6 7 7 7 9 -_2.8 - - 74 L._ -7 7.. 2.4 ( 53 54 R-13 2x6 --5 0_ 52 _ _2x8 j _4 8 so �I 2x4 43 44 R-11 `-- 2.6—--- -- — A ------ 43 This product,s covered by one or more U S and/or other patents j —' - - --------- -' See patent vnvw knoulmsulation us/potentt 2.8 38 41 _ Sales(800)825.4434 ext.8485 1 Technical Support(800)825.4434 ext 8727 1 infa.us(aknaufinsulation.com NAUpkliffl-HUIT1911 One Kited Diva,ShAyvile,IN 46176 1 ®2017 Knauf Inwlonon,Inc. I 111-11VIIIFAC I W 7 1 www knoufinsulation us L Jet Stream® Ultra Blowing Wool Insulation NAU �� ��. Attic and Cavity Wall Cord BUILDER'S INSULATION STATEMENT Jet Stream Ultra has been installed in conformance with the included recommendations to provide a thermal resistance of. Aftic Area Inches Sloped Ce,I-Ns I It. of Inch" Walls R. of Inches --'o�A space) R- Flows[over,an unheated cr' Inches Crawl Space perimeterat Inches Dole Installed Address 66 stalled in Using bogs ol this insulaCon to cover recommendations to provide an A-volue of R. Blown insulation has been in conlai'mit in, k., _inches. square 64 of area at a in rnum tkic Insulation Contractor I s;gratu'el Co.,pny vA Doi Hairrie Builder Is-rature) co-pony D. BATTS AND BLANKETS FRAMING ADJUSTMENT When installed in accordance with the manufacturer's recommendations,Knavf To compensate for framing members,the number of bogs per 1,000 fil of area to Insulation bons and blankets will provide the fill R-value, be insulated should be as shown below. P "o Sop/MSF bop/MSF Yaitse I Mn"ons 16-O.0 Fmmino 24-O.C.Frelming TO obloin an insulation Instilled W.Ah.J.W resistance(R-V")of: not be less than: 2.4 292 29 A R-A9 13 75" R-60 2.6 289 29 1 R-38 HD 289 .R-38 1200, 2.4 230 232 R-' R-49 2.6 22.7 229 30 HD 8 25" -- 2.8 22 A 1 217 R-30 2xA 204 206 R-26 9 Do* . R-2-- 6 50* ------—------ R-" 2x6 --201. 203 ,�2 5 so" 2-8 198 20 I_ 2x4 173 174 R-19 625... -- 3 50'5 HD 296 170 172- R-38 R-13 3 50' —2x8 16.7--- 170 --------- .35W. x4 13 2� _1 3 3 R-8 2 50" R-30 — 6 1 129 1 13 1 L --X ..._—— —P-Illino!i!i'cavity Cortfo,instoASTM C665 and Federal Sp"c.ficolion 1-11-45211' 2 _1__ 126 1 -129 2gA 1 11.3 1 114 R-26 2. t 6 ---1-10 1 112 2-8 1 108 110 2.4 I 9 3 95 R-22 91- ---- 93— 2.8 I 88 91 at 77 79 2-8 74 77 2.4 S 3 I _54 It-13 2.6 50 I 52 so 2xA 43 A 4 R-1 I 2x6 A I A 3 This produci,s covered by one or more U S ond/cm other patents I--- -- See potent—kncufinsulov,o-us/patents 2.8 38______ At Soles(800)82S-4434 ext.6495 (Technical Support(800)825,4434 exi,8777 info.us0knoufinsulaflomom knyfi moilu One Knotuf Dtive,Shelbyvile,IN 46176 1 @ 2017 Knouf Insulatort,Inc I BRWJU.A( 108-17 1 www knoufinsulalion us